Pathfinder Registration Form 2021-2022
Loma Linda Filipino Church Pathfinder Club
11180 New Jersey St
Redlands, CA 92373
website: pathfinders.llfc.org
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Email *
SECC Pathfinder & Staff Registration Application Form
This application if for: *
(choose one)
Participant's First Name: *
Participant's Last Name *
Birthday *
MM
/
DD
/
YYYY
Age *
Parent/Guardian Name *
Parent/Guardian Phone *
Child's Phone
(if applicable)
Address *
City *
State *
Zip *
Grade in School *
School you attend
Allergies
Please list any Allergies, Medical &/or Special Needs of Participant. Leave blank if None.
Emergency Contact Name
Emergency Contact Phone
Are you a member of this church?
Clear selection
If No, what church do you attend?
Are you baptized?
Clear selection
Gender
Clear selection
Number of years
you have been a member of any pathfinder club
Class Invested
Please check each progressive class which you were INVESTED: (leave blank if first time in pathfinders)
Basic
Advanced
Friend
Companion
Explorer
Ranger
Voyager
Guide
Master Guide 1
Master Guide 2
Welcome
What are you looking forward to as a member of the LLFC Pathfinder Club? Please be specific
Pathfinder's Agreement:
I want to join the Loma Linda Filipino Church Pathfinder Club. I will attend all "Share Your Faith" activities, outings, and other club activities, unless I am ill. I will proudly wear my Pathfinder uniform. I will obey club rules and understand that they have been made for my safety and that of my peers. I will be cheerful, helpful, honest, kind and courteous.
Pathfinder *
Please print your name if you agree with above statement
Approval/Consent of Parent/Guardian:
As parent(s)/guardian(s), I/we understand that the Pathfinder Club program is an active one, which includes many opportunities for service, adventure, fun and learning. I/we will support the program by:
1. Encouraging my Pathfinder to take an active part in all club meetings and functions
2. Attending all events to which parents are invited in support of my Pathfinder
3. Assisting club leaders by serving as a helper when needed
4. Not holding any individual club staff member liable in the event of injury
5. Giving my permission for the above named Pathfinder to attend all Pathfinder activities
Parent/Guardian *
Please print your name if you agree with above statement
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